Clinical Electrodiagnostic Evaluation for Nerve Transfer Surgery in Spinal Cord Injury: a New Indication and Clinical Pearls

Overview

Journal J Neurophysiol

Publisher American Physiological Society

Specialties Neurology
Physiology

Date 2022 Aug 31

PMID 36043801

Authors

Michael J Berger

Adenike A Adewuyi

Ida K Fox

Colin K Franz

Affiliations

Soon will be listed here.

Abstract

In this review, we highlight the important role of the clinical electrodiagnostic (EDX) evaluation after cervical spinal cord injury (SCI). Our discussion focuses on the need for timely, frequent, and accurate EDX evaluations in the context of nerve transfer surgery to restore critical upper limb functions, including elbow extension, hand opening, and hand closing. The EDX evaluation is crucial to define the extent of lower motor neuron lesions and determine candidacy for surgery. We also discuss the important role of the postoperative EDX evaluation in determining prognosis and supporting rehabilitation. We propose a practical framework for EDX evaluation in this clinical setting.

Citing Articles

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PMID: 39854114 PMC: 11887526. DOI: 10.1002/mus.28358.

Assessment, patient selection, and rehabilitation of nerve transfers.

Bateman E, Larocerie-Salgado J, Ross D, Miller T, Pripotnev S Front Rehabil Sci. 2023; 4:1267433.

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[Surgical reconstruction of arm and hand functions in tetraplegia : Current concepts].

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